It is your doctor's responsibility to have 100% recovery protocols so you don't get apathetic about not knowing how or when you'll recover.
YOUR DOCTOR'S RESPONSIBILITY!
Apathy as a Predictor for Conversion From Mild Cognitive Impairment to Dementia: A Systematic Review and Meta-Analysis of Longitudinal Studies
Abstract
Background
Apathy
is one of the most prevalent neurobehavioral manifestations in mild
cognitive impairment (MCI) and is included among the behavioral and
psychological symptoms of dementia (BPSD). Studies suggest that the
presence of apathy could be associated with increased dementia risk. The
role of apathy in conversion from MCI to dementia, and whether apathy
could be a relevant predictor for dementia progression, are still
matters of investigation.
Aim
To study the relationship between apathy and progression to dementia in individuals with MCI.
Methods
A
systematic literature search in Medline, Embase, Cochrane Library,
Epistemonikos, PsychINFO, and CINAHL was performed according to the
Preferred Reporting Items for Systematic Reviews and Meta-Analyses
guidelines. The search included longitudinal studies reporting on the
association between apathy and dementia.
Results
The
main outcome was pooled unadjusted hazard ratios (HR) of apathy in
dementia conversion and included 11 studies with 9504 individuals. There
was a significant association between apathy and dementia conversion,
HR = 1.54; 95% CI, 1.29, 1.84. Subgroup analysis showed a significant
association between apathy and progression to AD.
Conclusion
Apathy
was associated with an increased risk of conversion to AD and all-cause
dementia in patients with MCI. The role of apathy as a marker for
incident dementia needs to be investigated in large, high-quality
studies.
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